Ann & Robert H. Lurie Children’s Hospital of Chicago provides superior pediatric care in a setting that offers the latest benefits and innovations in medical technology, research and family-friendly design. As the largest pediatric provider in the region with a 140-year legacy of excellence, kids and their families are at the center of all we do. Ann & Robert H. Lurie Children’s Hospital of Chicago is ranked in all 10 specialties by the U.S. News & World Report.

Location

Olympia Center

Job Description

The Medical Staff Specialist is accountable for ensuring the hospital credentialing and privileging processes (including but not limited to primary source verifications, analysis and evaluation of verifications and privileges requested, and completion of application for Credentials Committee) are completed efficiently and effectively in accordance with established regulatory agencies, accreditation organizations, Medical and Dental Staff Bylaws, and Hospital and Medical Staff policies for initial applicants and reapplicants to the Medical and Dental Staff.  The Medical Staff Specialist will be relied upon for initiating and maintaining accurate information on all members of the Lurie Children’s Medical and Dental Staff.  The Medical Staff Specialist will also provide cross coverage and collaboration with department staff on key initiatives of the Medical Staff Services Department.

Essential Job Functions:

Credentialing initial appointments:

Releases all initial applications and criteria for membership and status through the Request for Application Process.Receives, processes, and evaluates all applications for completion.Performs primary source verification to include receipt of responses and follow-up.Analyzes all information and documents received and makes decisions to accept, to initiate further investigation, or escalate review to Director.Prepares completed applications for review from quality review to review by Credentials Committee.

Privileging for initial applicants: 

When clinical privileges are requested on Request for Application, releases delineation of clinical privileges forms and related criteria.Receives, processes, and evaluates for completion.Performs primary source verification of criteria for each privilege requested.Analyzes verifications against privileges requested, and makes decisions to accept, to initiate further investigation, or escalate review to Director.Prepares completed requests for privileges for review from quality review to review by the Credentials Committee.

Reappointments and renewal of clinical privileges:

Ensures forms are edited annually and maintained in compliance with current regulatory, accreditation and organization standards.Prepares and maintains reappointment data reports in MSOW software system. Evaluates the volume of reappointments to be processed, makes decisions on how reappointments will be processed and advises Director. Ensures efficient and timely process of reappointment applications and renewals of privileges.Analyzes primary source verifications and quality reports, and makes decision to accept, to initiate further investigation, or escalate review to Director.Completes reappointments and renewal of privileges to the review by Credentials Committee.Provides guidance to applicants and reapplicants, division and department heads, practice administrators or managers, and partner representatives such as PFF, CMMG, CSF, and CCPA, on initial and reappointment application deficiencies, standards of regulatory agencies, accreditation organizations, bylaws or hospital and medical staff policies, and any other issues relative to the credentialing and privileging process.Receives and processes all requests for temporary privileges and additional privileges, ensuring regulatory, accreditation and organizational policy compliance.Analyzes requests and makes decisions to forward for approval based on completeness of request and established criteria and policy. Receives and processes all urgent requests for emergency one-case temporary privileges for physicians or surgeons regarding emergent patient cases, ensuring regulatory, accreditation and organizational policy compliance. Analyzes requests and works closely with the CMO and Department and Medical-Dental Staff Leadership to ensure immediate action. Makes decisions to expedite approval based on urgency of request while ensuring adherence to established criteria and policy. Provides support for Electronic Prescription of Controlled Substances (EPCS) as enrollment supervisor. Includes but is not limited to performing identity proofing performed in accordance with The Joint Commission, DEA, and NIST standards, enrollment in EPCS including finger printing, and maintaining enrollments. Manages National Practitioner Data Bank.  Including but not limited to initial enrollment and verification of all medical-dental and allied health staff applicants, analysis of verification, maintenance of enrollees and ongoing data bank disclosures as required by state and federal law.    Monitors processes (Request for application, initial application, and reapplication) for compliance with IDPH, TJC, CMS, rules and regulations, standards, and policies.Provides customer service support to internal customers with information related to applicants/reapplicants (Departments and Divisions, PFF, CMMG, CSF, CCPA, Physician Services, etc.) and external customers (medial staff offices of other hospitals, managed care plans, etc.).Provides routine support to CMO, the Sr. Director of Medical & Professional Staff Affairs, and Director of Medical Staff Services for tasks related to the Medical and Dental Staff and other limited support as needed.Other duties as assigned to support the mission and goals of the Medical Staff Services Department and department leadership.Experience, Skills & Education:High school Diploma required. Bachelor's degree in business, organization management or health care related degree preferred.Minimum of three years of experience in medical staff credentialing and recredentialing process.Certification/Licensure/Registration. Certification by National Association of Medical Staff Services as a Credentialing Specialist (CPCS) is preferred.Working knowledge of regulatory and accrediting organization standards.Must have experience with a JCAHO or NCQA audit.Extensive knowledge and experience working with Microsoft applications such as Microsoft Word, Excel, Access, PowerPoint and Visio with the ability to operate standard office equipment (examples: photocopy machine, facsimile machine, calculator, etc.). Ability to type at least 40 wpm is preferred.Ability to work under pressure, handle numerous interruptions without losing the attention to details of the task interrupted, be detail oriented, and have excellent cognitive and communication skills.Hybrid work arrangement available.

Education

High School Diploma/GED (Required)

Pay Range

$22.25-$36.38 Hourly

At Lurie Children’s, we are committed to competitive and fair compensation aligned with market rates and internal equity, reflecting individual contributions, experience, and expertise. The pay range for this job indicates minimum and maximum targets for the position. Ranges are regularly reviewed to stay aligned with market conditions. In addition to base salary, Lurie Children’s offer a comprehensive rewards package that may include differentials for some hourly employees, leadership incentives for select roles, health and retirement benefits, and wellbeing programs. For more details on other compensation, consult your recruiter or click the following link to learn more about our benefits.

Benefit Statement

For full time and part time employees who work 20 or more hours per week we offer a generous benefits package that includes:

Medical, dental and vision insurance

Employer paid group term life and disability

Employer contribution toward Health Savings Account

Flexible Spending Accounts

Paid Time Off (PTO), Paid Holidays and Paid Parental Leave

403(b) with a 5% employer match

Various voluntary benefits:

Supplemental Life, AD&D and Disability

Critical Illness, Accident and Hospital Indemnity coverage

Tuition assistance

Student loan servicing and support

Adoption benefits

Backup Childcare and Eldercare

Employee Assistance Program, and other specialized behavioral health services and resources for employees and family members

Discount on services at Lurie Children’s facilities

Discount purchasing program

There’s a Place for You with Us

At Lurie Children’s we embrace and celebrate diversity and equity in a serious way. We are committed to building a team with a variety of backgrounds, skills, and viewpoints — recognizing that diverse identities strengthen our workplace and the care we can provide to the Chicago community and beyond. We treat everyone fairly, appreciate differences, and make meaningful connections that foster belonging and allyship. This is a place where you can be your best, so we can give our best to the patients and families who trust us with their care.  

Lurie Children’s and its affiliates are equal employment opportunity employers.  We value diversity and are committed to creating an inclusive environment for all employees.  All qualified applicants will receive consideration for employment without regard to race, color, sex, sexual orientation, gender identity or expression, religion, national origin, ancestry, age, disability, marital status, pregnancy, protected veteran status, order of protection status, protected genetic information, or any other characteristic protected by law.

Support email: candidatesupport@luriechildrens.org